LC-MS/MS-Based Quantification of 9 Antiepileptic Drugs From a Dried Sample Spot Device
| Autor: | Annachiara DʼUrso, Ugo de Grazia, Pasquale Striano, Antonio DʼAvolio, Sebastiano Barco, Giuliana Cangemi |
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| Rok vydání: | 2019 |
| Předmět: |
Analyte
Sample (material) AEDs DPS DSSD liquid chromatography mass spectrometry 030226 pharmacology & pharmacy 03 medical and health sciences Plasma 0302 clinical medicine Limit of Detection Tandem Mass Spectrometry Lc ms ms Calibration medicine Humans Pharmacology (medical) Active metabolite Chromatography High Pressure Liquid Pharmacology Detection limit Chromatography medicine.diagnostic_test Chemistry Reproducibility of Results Triple quadrupole mass spectrometer Therapeutic drug monitoring Anticonvulsants Dried Blood Spot Testing Drug Monitoring |
| Zdroj: | Therapeutic drug monitoring. 41(3) |
| ISSN: | 1536-3694 |
| Popis: | Background Therapeutic drug monitoring (TDM) of antiepileptic drugs (AEDs) is commonly performed on plasma or serum. The use of dried plasma spots (DPSs) could represent a useful tool to facilitate sample shipment to reference laboratories. In this article, the authors describe the application of a commercially available UHPLC-MS/MS method for the determination of 9 commonly prescribed AEDs (levetiracetam, lacosamide, topiramate, ethosuximide, lamotrigine, rufinamide, zonisamide, primidone, and oxcarbazepine and its active metabolite 10-OH-monohydroxycarbazepine) to DPS collected on dried sample spot devices (DSSDs). Method Fifty microliters of plasma were spotted on DSSD. After being air-dried at room temperature, they were extracted using an organic extraction solution containing the appropriate deuterated internal standards. The chromatographic separation was performed on a UHPLC reversed-phase C-18 column, and the analytes were quantified using a triple quadrupole mass spectrometer (LC-MS/MS). Results The assay was linear over the concentration ranges tested with a total runtime of 10.3 minutes. Recovery ranged from 93.7% to 106.8%. Intraday and interday precision for all quality control levels, including lower limit of quantification, ranged from 2.1% to 18.4% and 2.1% to 13.2%. Intraday and interday accuracy biases ranged from -11.7% to 14.3% and -9.2% to 8.0%. The absence of matrix effects was also tested and confirmed. Real samples derived from patients under therapy were also analyzed, and the comparison of results obtained from DSSD with those obtained from plasma showed that the 2 matrices were interchangeable. Stability tests performed on both quality controls, and real samples demonstrated that DSSDs can be easily stored and shipped at room temperature for 15 days. Conclusions The application of the LC-MS/MS method allowed the authors to obtain a very specific, sensitive, and rapid (total runtime = 10.3 minutes) quantification of 9 AEDs starting from very low volumes of plasma samples. The main advantage of DPS over wet samples is room temperature storage and shipment, which lowers shipment costs and makes it suitable for routine TDM. Moreover, in comparison with other alternative matrices, DPS allows for the use of the same therapeutic ranges on which routine TDM is based. DPS on DSSD can thus be considered as a useful and cheap tool for the broader application of TDM. |
| Databáze: | OpenAIRE |
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